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EL-15-3158Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795-2204 Fax: (305)756-8972 QC_ I - isgo Inspection Number: INSP-256969 Permit Number: EL -12-15-3158 Scheduled Inspection Date: April 15, 2016 Inspector: Devaney, Michael Owner: UKAZIM, UCHENNA Job Address: 960 NE 97 Street Miami Shores, FL 33138 - Project: <NONE> Contractor: GLOBAL ELECTRIC SERVICES LLC Permit Type: Electrical - Residential Inspection Type: Final Work Classification: Low Voltage Phone Number (561)901-3471 Parcel Number 1132060143160 Phone: (305)218-0752 Building Department Comments LOW VOLTAGE FOR SOUND, INTERNET, & TV Infractio Passed Comments INSPECTOR COMMENTS False Passed Failed Correction Needed Re -Inspection Fee No Additional Inspections can be scheduled until re -inspection fee is paid. Inspector Comments April 14, 2016 For Inspections please call: (305)762-4949 Page 27 of 31 Project Address 960 NE 97 Street Miami Shores, FL 33138 - Miami Shores Village 10050 N.E. 2nd Avenue NE Miami Shores, FL 33138-0000 Phone: (305)795-2204 Permit Na. EL -12-15.3158 Permit Type: Electrical - Residential or* Classification: Low Voltage Permit; Status: APPROVED Expiration: 07/02/2016 Parcel Number 1132060143160 Block: Lot: .':` „�:�;s: v..:';� `k, ,k ,��:•a'*' .�--:;<s:c.2�k ':' eW.-,�;A �k is t,�.?Y. ..: �....'�•'., s' ,. ,\�1.1.. Owner Information UCHENNA UKAZIM Address 960 NE 97 Street MIAMI SHORES FL 33138- 960 NE 97 Street MIAMI SHORES FL 33138- Contractor(s) Phone Cell Phone GLOBAL ELECTRIC SERVICES LLC (305)218-0752 Applicant UCHENNA UKAZIM Phone Valuation: Total Sq Feet: Type of Work: LOW VOLTAGE FOR SOUND, INTERNET, & Additional Info: Classification: Residential Scanning: 1 Fees Due CCF DBPR Fee DCA Fee Education Surcharge Permit Fee - Additions/Alterations Scanning Fee Technology Fee Total: Amount $1.20 $2.25 $2.25 $0.40 $150.00 $3.00 $1.60 $160.70 Pay Date Pay Type Invoice # EL -12-15-58132 01/04/2016 Credit Card 12/22/2015 Credit Card Amt Paid Amt Due $ 110.70 $ 50.00 $ 50.00 $ 0.00 CeII $ 1,500.00 00 Available Inspections: Inspection Type: Review Electrical 1 In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by her myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, .00RS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing informatio construction and zoning. Futhermore, I authorize the above -'am Authorized Signature: Owner / Applicant Building Department Copy is accurate and that all work will be done in compliance with all applicable laws regulating d c ntractor to do the work stated. ontractor / Agent January 04, 2016 Date January 04, 2016 1 \VI/ 0\ Y� BUILDING PERMIT APPLICATION Miami Shores Village Building Department 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795-2204 Fax: (305) 756-8972 INSPECTION LINE PHONE NUMBER: (305) 762-4949 DEC 2'2 2019 FBC 20 Master Permit No. E.C- (9- i5- / 5 S8 Sub Permit No. / /J.-- 3/s ❑BUILDING ® ELECTRIC ❑ ROOFING ❑ REVISION ❑ EXTENSION ❑RENEWAL EPLUMBING ❑ MECHANICAL ❑PUBLIC WORKS ❑ CHANGE OF ❑ CANCELLATION ❑ SHOP CONTRACTOR DRAWINGS JOB ADDRESS: 60 NE 9 7 .5/.- City: /" City: Miami Shores � County: Miami Dade Zip: 33/3g Folio/Parcel#: II 32 O (, 0 ( cT3 / 6,Q Is the Building Historically Designated: Yes NO Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE: OWNER: Name (Fee Simple Titleholder): UC- WEN /y A U K A Z I M Phone#: (7ts&,) 515- 5O Address: q( -?o pi c-- ' 7 -5/-• City: /'j!/ANI/ 3h 0i E State: ---FL Zip: 33/3g Tenant/Lessee Name: Phone#: Email: VM(o1(''MED,Atit/N1.i— Cii.Cotte CONTRACTOR: Company Name:��'���,�,[C �[p/C?�IJ/Gr`� �e Phone#: Address: (�7 Gf Ss� (C S mac.( City: State: >� C Zip: .33/52 . Qualifier Name:�S/27,q,f, L!)?7f-.J-eZZ Phone#: 3e_s- 0-2r�C� �5 Z State Certification or Registration #: /3®/9'JV6 Certificate of Competency #: /%6--eQerA22 DESIGNER: Architect/Engineer: Phone#: Address: City: State: Zip: Value of Work forthis Permit: $ Square/Linear Footage of Work: Type of Work: ❑ Addition n Alteration ❑ New ❑ Repair/Replace ❑ Demolition Description of Work: !) i .7-jy7IEdn/ET, 11V Specify color of color thru tile: Submittal Fee $ Scanning Fee $ a) Technology Fee $ : GO Permit Fee $ /jC�.L%4 CCF $ I . 2_O Co/CC $ Radon Fee $ 2 5 DBPR $ . • 2 Notary $ Training/Education Fee $ V : 4Q Double Fee $ (73 Structural Reviews $ Bond $ TOTAL FEE NOW DUE $ %) (Revised02/24/2014) Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address City State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Signature OWNER or AGENT The foregoing instrument was acknowledged before me this day of CIC�i ?Jcr ,20 /S , by ()di )1 12 %(f . 2/ LY, , who is personally known to me or who has produced as identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: —IA tiar &bli i►s� - ' .te of Florida • My Comm. Expires Aug 13, 2016 Commission # EE 200674 so Bonded Through National Notary Assn. Signature CONTRACTOR The foregoing instrument was acknowledged before me this ��� day of�(-_'C C'�r.�.C,.>/' , 20 /.� , by (1jj� )2 -JCL -72 / () /2 -- 4-avho is personally known to me or who has produced identification and who did take an oath. NOTARY PUBLIC: Sign: Print: Seal: as tit fig- �._,-: Commission # EE 200674 N. ary •u�•ate ;Ada Bonded Through National Notary Assn. **s******s*s***s***.1,4,*ss***ss*******ss****s**ss*s**ss*******ss*sss*******sss***s*sss**********s*s**sssss APPROVED BY (Revised02/24/2014) �2 22, >h'e1-s Plans Examiner Zoning Structural Review Clerk CTQB Construction Trades Qualifying Board BUSINESS CERTIFICATE OF COMPETENCY GLOBAL ELECTRIC SERVICES Is certified under the provisions of Chapter 10 of Miami -Dai Count' Local Business Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY 7052889 BUSINESS NAME/LOCATION GLOBAL ELECTRIC SERVICES LLC 15905 SW 105 CT MIAMI, FL 33157 RECEIPT NO. RENEWAL 7330376 OWNER SEC. TYPE OF BUSINESS GLOBAL ELECTRIC SERVICES LLC 196 ELECTRICAL CONTRACTOR 1 12E000422 Workers) LBT EXPIRES SEPTEMBER 30, 2016 Must be displayed at place of business Pursuant to County Code Chapter 8A - Art. 9 & 10 PAYMENT RECEIVED BY TAX COLLECTOR 75.00 07/06/2015 CREDITCARD-15-033791 This Local Business Tax Receipt only confines payment of the Local Business Tax. The Receipt is not a license, permit or a certification of the holders qualifications, to do business. Holder must comply with any governmental or nongovernmental regulatory laws and requirements which apply to the business The RECEIPT N0. above must he displayed on all commercial vehicles - Miami -Dade Code Sec 8a-276. MIAM For more information. visit www.miamidade.gov/texcollectot unicipal Contractor's Tax Receipt Miami—Dade County, State of Florida -THIS IS NOT A BILL - DO NOT PAY CC NO: 12E000422 BUSINESS NAME/LOCATION GLOBAL ELECTRIC SERVICES LLC 15905 SW 105 CT MIAMI, FL 33157 OWNER GLOBAL ELECTRIC SERVICES LLC RECEIPT NO. 7473360 TYPE OF BUSINESS ELECTRICAL CONTRACTOR MC EXPIRES SEPTEMBER 30, 2016 Pursuant to County Code Sec 10-24 PAYMENT RECEIVED BY TAX COLLECTOR 200.00 10/01/2015 0221-16-000020 This receipt is not valid in the following Municipalities: Aventura, Doral, Hialeah. Key Biscayne, Miami Gardens. Miami Lakes, Palmetto Bay, Pinecrest. Sunny Isles Beach, Town of Cutler Bay. For more informaties visit wwwmiamidade.aarhaxcoIl or ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE(MYY) 8/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. tf SUBROGATION IS WAIVED. subject to the terms and conditions of the policy. certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). t PRODUCER Fortun Insurance, Inc. 365 Palermo Ave. CONTACT Jackie Ortega NAME:_----_ __ __ __ PHONE r (305) 445 _3535 (AxLN, (866)415-0825 .(A1C..-HorFYt ADDREss_Jackie.ortega@fortuninsurance.con Coral Gables FL 33134-6607 r--- INSURER(S) AFFORDING COVERAGE ( NA)C i INSURER(S) INSURERAMAPFRE Insurance Co. INSURED Global Electric Services LLCa 15905 SW 105 CT 1INSURERD: Miami FL 33157 Insurcance Capt any FINsuRERB:RetailFirst (_NuNwERc_--------------------------- INSURER E ------ BODILY INJURY (Per purser)) 15 __ �_.,-_-_---- 6OOtt V iNJURV (Per xcirlaat); 5 • INSURER F: CERTIFICATE NUMBER:CL1582508299 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOU!REMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY RE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ItADDLbUBR; LTR t TYPE OF INSURANCE . INSD IMO ' POLICY NUMBER POLICY EFF T� POLICY EXP (MM/OD/YYY Y) (MM/D0/YYYY) LIMITS X J I A 1___ j._. GEN'L 1 X i -OTHER' COMMERCIAL GENERAL LIABILITY ; t I n 1 _ X t i I 4jA t I CiA IUB -MADE L 1(; OCCUR , t • 4250150021367 ._-.-.------.---'--.-------- AGGREGATE LIMIT APPLIES PER. i ! POLICY €I PRO LOC I `__ i I 8/30/2015 8/30/2016 ,EACH OOCEJRREN(:E ! S 1,000,000 DAMAGE TO RENTED 100, 000 LPREFASES TB ec..Lam )-_�5--"----- 0, 000 MED EXP (Any once person) 5 5,000 PERSONAL & ADV INJURY y5 - -- 1, 000, 000 L GENERAL AGGREGATE 15 2,000,000 PRODUCTS- COt1PlOP AGG ' $ 2,000.000 Employee Ber, 48s ; S i AUTOMOBHE LIABILITY i j j L___, ANY AUTO ALL OWNED ---' SCHED'JLED i i___� AUTOS j AUTOS t NON -OWNED i I i t HIRED AUTOS ( I AUTOS ' i 1 i I t COMMNED SINGLE UMI i ; S BODILY INJURY (Per purser)) 15 __ �_.,-_-_---- 6OOtt V iNJURV (Per xcirlaat); 5 • PROPERTY DAMAGE T jrLaccident)._ $ ii s I UMBRELLA LIAR OCCUR EXCESS UAB i �CWMs..mADE` i i EACH OCCURRENCE . $ (AGGREGATE 't5 DED ' + RETENTIONS i t S I WORKERS COMPENSATION AMD EMPLOYERS' LIABILITY Y / N : ANY PROPRIETORiPARTNER+EXECUTIVE r-.' N / A I B FLMEMBER EXCLUDED? " (Mandatory in NH) --� i 520-48297 7/15/20:5 IN yes. desu8e under I DESCRIPTION OF OPERATIONS beim ! 7/15/2016 ,' PER ( OTH- _._i_STA_T_SrF.E-i.._-J...EB-- E.L. EACH ACCIDENT i 5 1,000,000 i— ' ' E L. DISEASE - EA EMPLOYER S 1, 0E101000 I E.L. DISEASE - POLICY LIMIT I S 1,000,000 I t I 1 DESCRIPTION OF OPERATIONS! LOCATIONS ! VEHICLES (ACORD 101, Acid -Menai Remarks Schedule. may be attached if more space is required) Electrical Work CANCELLATION (305)756-8972 City of Miami 10050 NE 2 Ave Miami Shores, Shores Village FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Hector Fcrt'in/i' '%" 'r�'f �__ ':-..___.---,,,,-...---,:_r--_—_ ACORD 25 (2014101) INS015 rmt.r_h 1988-2014ACORD CORPORATION. API rights reserved. The ACORD name and logo are registered marks of ACORD